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Problems with low confidence and self-worth are not limited to adolescence (Ali, Ali, and Suhail, 2016). Adults and older adults can experience a variety of self-esteem issues which likely developed out of past experiences being bullied by peers or by exposure to a disapproving authority figure (Leary, Schreindorfer, Haupt, 1995). The experience of low self-esteem can have very serious implications for their relationships and can heavily influence their decisions and life choices (Campbell and Lavallee, 1993). Will (name changed to protect confidentiality) is an adult male who sought assistance from G.A. Family Services Foster Care Program’s Skill Builder/Therapist. This research project involves the use of single-subject design evaluation in determining the effectiveness of Cognitive Behavioral Therapy (CBT) in improving Will’s self-esteem. More specifically, the study will examine changes in the Rosenberg Self-Esteem Scale following one-on-one and couples counseling.